Individual
KAY LOUISE IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1725 PINETREE CIR NE, ATLANTA, GA 30329-3525
(404) 520-6919
Mailing address
1725 PINETREE CR. NE, ATLANTA, GA 30329
(404) 520-6919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003671
GA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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